Daniilidou Paressa, Carding Paul, Wilson Janet, Drinnan Michael, Deary Vincent
Department of Otolaryngology, Freeman Hospital, Newcastle Upon Tyne, England, United Kingdom.
Ann Otol Rhinol Laryngol. 2007 Oct;116(10):717-22. doi: 10.1177/000348940711601002.
We sought to investigate whether a brief period of training in cognitive behavioral therapy (CBT) can improve the treatment of functional dysphonia by a speech and language therapist and ameliorate the psychological distress associated with this condition.
In a consecutive cohort design, a speech and language therapist treated a small cohort (n = 15) of dysphonic patients with voice therapy alone. After a brief period of CBT training, she treated the next cohort of dysphonic patients (n = 13) with CBT-enhanced voice therapy. Pretreatment and posttreatment measures were taken of voice quality and voice-related quality of life. The General Health Questionnaire 28 and the Hospital Anxiety and Depression Scale were used to assess psychological distress and general well-being.
All voice measures improved significantly in both cohorts. Both groups improved significantly on the General Health Questionnaire 28, with the CBT group improving significantly more than the control group. Only the CBT group improved significantly on the Hospital Anxiety and Depression Scale (depression subscale).
Despite limitations of size, design, and between-group baseline differences, the results support the hypothesis that the addition of CBT skills to existing voice therapy is both feasible and clinically effective in the treatment of functional dysphonia.
我们试图研究认知行为疗法（CBT）的短期培训能否改善言语和语言治疗师对功能性发声障碍的治疗，并减轻与此病症相关的心理困扰。
在一项连续队列设计中，一名言语和语言治疗师仅采用嗓音疗法治疗了一小群（n = 15）发声障碍患者。经过一段短期的CBT培训后，她采用CBT强化嗓音疗法治疗了下一群发声障碍患者（n = 13）。在治疗前和治疗后分别对嗓音质量和与嗓音相关的生活质量进行了测量。使用一般健康问卷28和医院焦虑抑郁量表来评估心理困扰和总体幸福感。
两个队列的所有嗓音指标均有显著改善。两组在一般健康问卷28上均有显著改善，CBT组的改善幅度显著大于对照组。仅CBT组在医院焦虑抑郁量表（抑郁分量表）上有显著改善。
尽管在样本量、设计以及组间基线差异方面存在局限性，但结果支持以下假设：在现有的嗓音疗法中加入CBT技能在治疗功能性发声障碍方面既可行又具有临床疗效。
